Customer Service Office
Resume:
Tamisha A. Beedy
Sunbury, Ohio 43074
Objective:
To acquire a position in an aggressive people-oriented organization with opportunity for advancement that would utilize my professional skills and abilities through various personal contributions.
Employment:
Anthem/WellPoint Inc.
IT Quality Control Analyst SR 2013-11/2019 (Laid off due to RIF)
BA II – 06/2012
BA I – 08/30/10
Previously:
OE National Control/ ITS Home Unit Nasco Worthington, Ohio
Bluecard Host Correspondence*CSR III WGS/Nasco January ’03 to Nov ‘19
Quality Control Analyst SR
In this position I lead projects and secured assets needed for the project. I also acted as a SME for Nasco systems. I worked closely with all leads and Project Managers to make sure we met deadlines in a timely manner and controlled the number of defects found in a project. This position offered me massive amounts of learning skills from upper leadership. I was able to complete training and training documents for the team or project needs. Data management as well as investigate all issues raised by testers. Some Product management skills due to fellowship learning process. Performance Analyst skills obtained through project skills in need of a PE
BA II
In this position I have been a UAT tester for ICD10 project on the Nasco platform. The UAT claims testing performed is an end to end test of the system. I worked on Shared Testing alongside JaWood on the Nasco platform to include any additional testing to cover WellPoint specific functionality. Create test defects in Nasco CQ and work with IBM for resolution. Account skills include GenC/Lites, House Accounts local on Nasco, ITS Bluecard, Home, and National Control & Par.
BA I
This position started August 2010 in National Requirements. In this position I was studying under Jan Ruark and Terri Figliolo on Requirements for the ITS/Blue2 and Caremark releases. This has been an in depth learning process of how to work and create requirements and test case scenarios. Included in this time I was able to work testing for the 5010 project while following the previously written requirements. May 2011 I was moved to the testing team under Russell Rhodes due to realignment and creation of the CoRE Team.
Operations Expert position – Systems Nasco, PNS, BPM & Blue Square
Since joining the National Control/ ITS Home unit in February 2008 I have been responsible for answering daily questions from our Customer service team as well as our Claims team. With the re-organization under Elaine Patterson and Laureen McCrae (Anthony Marichal current) early in 2008 I have maintained and reported daily, weekly and or monthly on all areas of our inventory from service and claims. The reporting has included any necessary action plans needed for future inventory reductions to maintain and reach our goals. The reports have given me great experience with Nascript and Excel reporting. Daily work has included coming up with and putting into writing unit workflows that coordinate with auditing guidelines and our training department.
This position has given me opportunity to develop skills in promoting team work and encouraging others to excel their own personal development within our company. My skills also include both Home and Host interface with Price and Ship, CSS Gui (Testing also), Adjudicator ATM (Testing), eFDE claims Nasco (Testing also), EEC claims Nasco (Testing also), HPA Manual DF creations, ITS formats database as well as BPM and Blue Square functionalities (Testing also). In addition to the Operations Expert experience I have also been able to travel to our Wisconsin office to assist in training for their transition to Nasco for their Home business. This consisted of helping their office obtain the correct contacts for all aspects of their business and assisting in work flow creations and implementations. To date I have continually worked Host Correspondence weekly as a way to maintain production skills and WGS knowledge which has kept me current and productive on both Home and Host systems.
CCR III position (ended 02/04/08) – Systems: Nasco, WGS, PNS, BPM & Blue Square
In this position I have handled in bound calls from Providers, brokers and employer groups. Our department is here to advocate help with claims for providers with in Ohio, Indiana and Kentucky.
We assist providers by giving them claim status, adjusting claim that are not paid correctly, and we inquiry with the benefit office to obtain answers for the providers. Our position is here to support our providers by communicating needs and claim changes to the benefit office. As well as conversing with the provider relations area to discuss provider concerns with their contract.
In productivity areas I have handled all areas of incoming mail. Another important responsibility that I hold is to work independently on a daily basis to control our inventory counts. This has been a great opportunity to show I can still produce quality and quantity work with out needing to be directed through out the day. Adjustment training was completed on 07/29/05 to assist in bringing down inventory. I was given the chance to be an acting lead during training time for our operations experts. This acting position is still currently in place within our unit now and has given me multiple growth opportunities over the last year in a half. This has allowed me the opportunity to experience the position with additional responsibilities as well as mentoring others through their daily position. Another achievement I was grateful to have gained is working the Secure Messages (email) requests from providers with proficiency. Being flexible and responsible is in great demand in our unit. I have completed training for WGS for all levels from claim keying, service operations and adjustments.
United Healthcare Worthington, Ohio
Customer Service Agent August ‘00 to May ‘01
I was responsible for all incoming calls concerning benefits, participating providers and reprocessing claims that have denied incorrectly. I also handled provider calls to check on the status of claims in processing. I also verified benefits and policy effective dates. I was responsible for sending out member packets and provider directories. I was given an extensive training course to learn all benefits on each and every individual policy. Our position in customer service was moved to Dayton in May 2001.
School Skills:
Adept in working with Microsoft Windows, Excel, Power Point
Possess a working knowledge of basic accounting procedures
Adapt swiftly and smoothly to frequent and abrupt changes in work environment
Enjoy and excel in relating to the general public and their demands and requests
Education:
Westerville South High School G.E.D.
Two year’s intensive business education
Two year’s basic typing
Hondros College
R.E. Sales agent Nov 2010
Licensed April 2011
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